Organization Active NPI

Clark Johnson Enterprises LLC

  • Case Management Agency
  • Reynoldsburg, OH
National Provider Identifier
1962291906
Registry record updated Sep 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
CLARK JOHNSON ENTERPRISES LLC
Practice address
7333 E Livingston Ave Ste a
Reynoldsburg, OH 43068-3098
Phone
(216) 200-8445
NPI assigned
May 5, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Takara Clark
Title
Ceo
Phone
(513) 227-6941

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary
Public Health or Welfare Agency 251K00000X
Respite Care 385H00000X

Addresses

Primary practice location

7333 E Livingston Ave Ste a
Reynoldsburg, OH 43068-3098

Mailing address

PO Box 29044
Columbus, OH 43229-0044
Phone (216) 200-8445

Other names 1

  • Clark Johnson Thrive Project Doing business as

National Provider Directory

National Provider Directory

Locations

7333 E Livingston Ave
Ste A
Reynoldsburg, OH 43068
Phone (216) 200-8445

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1746403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758672000000",
    "number": "1962291906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 29044",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432290044",
            "telephone_number": "216-200-8445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7333 E LIVINGSTON AVE STE A",
            "city": "REYNOLDSBURG",
            "state": "OH",
            "postal_code": "430683098",
            "telephone_number": "216-200-8445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARK JOHNSON ENTERPRISES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-05",
        "last_updated": "2025-09-24",
        "certification_date": "2025-09-24",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "TAKARA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "513-227-6941"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clark Johnson Thrive Project",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Reynoldsburg, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.